Evidence map›Paper›PMID 39410969›Full record

ArticleFrontiers in radiology2024

Seven-tesla magnetic resonance imaging of the nervus terminalis, olfactory tracts, and olfactory bulbs in COVID-19 patients with anosmia and hypogeusia.

Claudia F E Kirsch, Syed Ali Khurram, Daniel Lambert, Puneet Belani, Puneet S Pawha, Akbar Alipour, Shams Rashid, Mackenzie T Herb, Sera Saju, Yijuan Zhu and 3 more

Abstract read
In one paragraph

Article in Frontiers in radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Claudia F E KirschYale Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States.
Syed Ali KhurramThe School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom.
Daniel LambertThe School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom.
Puneet BelaniDepartment of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Puneet S PawhaDepartment of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Akbar AlipourBiomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Shams RashidBiomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Mackenzie T HerbBiomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Sera SajuBiomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Yijuan ZhuBiomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Bradley N DelmanDepartment of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Hung-Mo LinYale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT, United States.
Priti BalchandaniBiomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Introduction: Linking olfactory epithelium to the central nervous system are cranial nerve 1, the olfactory nerve, and cranial nerve "0," and the nervus terminalis (NT). Since there is minimal expression of angiotensin-converting enzyme-2 (ACE-2) in the olfactory nerve, it is unclear how SARS-CoV-2 causes anosmia (loss of smell) and hypogeusia (reduction of taste). In animal models, NT expresses ACE-2 receptors, suggesting a possible SARS-CoV-2 viral entry site in humans. The purpose of this study was to determine whether ultra-high-field 7 T magnetic resonance imaging (MRI) could visualize the NT, olfactory bulbs (OB), and olfactory tract (OT) in healthy controls and COVID-19 anosmia or hypogeusia and to qualitatively assess for volume loss and T2 alterations. Methods: In this study, 7 T MRI was used to evaluate the brain and olfactory regions in 45 COVID-19 patients and 29 healthy controls. Neuroimaging was qualitatively assessed by four board-certified neuroradiologists who were blinded to outcome assignments: for the presence or absence of NT; for OB, OT, and brain volume loss; and altered T2 signal, white matter T2 hyperintensities, microhemorrhages, enlarged perivascular spaces, and brainstem involvement. Results: NT was identifiable in all COVID-19 patients and controls. T2 hyperintensity in the NT, OB, and OT in COVID-19 patients with anosmia or hypogeusia was statistically significant compared to controls and COVID-19 patients without anosmia or hypogeusia. Discussion: On 7 T MRI, NT was radiographically identifiable, adjacent to OB and OT. In COVID-19 anosmia and hypogeusia, T2 hyperintensity of NT, OB, and OT was statistically significant compared to COVID-19 patients without anosmia or hypogeusia and controls. The NT may be a potential entry site for SARs-CoV-2 and may play a role in the pathophysiology of COVID-19 anosmia.

Indexed as

angiotensin-converting enzyme 2 (ACE-2) receptorhypothalamusimmune responsemagnetic resonance imaging (MRI)nervus terminalis (NT)olfactory tract

Identifiers

PMID39410969
PMCPMC11473298

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.